A Case of Report of Intra-adbdominal Desmoid Thmor of the Mesenterium without Polyposis Coli

Shinji Osada, Hiromi Tanemura, Hiroo Ohshita

Department of Surgery, Gifu Municipal Hospital

The patient was a 61-year-old man with the chief complaint of abdominal tumor. Three years earlier, in 1989, he had undergone partial resection of the stomach for early gastric cancer. Abdominal ultrasonography, computed tomography and MRI revealed a tumor that had developed from the mesenterium. Laparotomy was performed on May 25, 1992. A tumor was found in the mesenterium of the jejunum approximately 110 cm from Treitz's ligament. The tumor was extirpated without resection of the intestine. The resected elastic hard tumor, measuring 11.5×10.5×10.5 cm, showed a smooth surface, was whitish and had a solid cut surface. Microscopic view showed spindle-shaped fibroblasts and their production of abundant collagen fibers. The histological diagnosis was intra-abdominal desmoid tumor. These has been o evidence of recurrence as of 2 years and 6 months after surgery. This is a rare case of intra-abdominal desmoid tumor without polyposis coli, only 38 cases have been reported in the Japanese literature. We discussed the clinical findings of this desmoid tumor.

Key words
intra-abdominal desmoid tumor

Reprint requests
Shinji Osada Department of Surgery, Gifu Municipal Hospital
7-1 Kashimacho, Gifu, 500 JAPAN

Accepted
February 8, 1995

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